JACLYNN MARIE THACKER APRN, NP-C
NPI 1073283362
Nurse Practitioner - Family in Paoli, IN

Active since September 17, 2021PECOS EnrolledAccepts Medicare Assignment
420 W LONGEST ST, PAOLI, IN 47454(812) 723-3944 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Nov 14, 2022, Nov 4, 2022 and 3 more (6 updates tracked since 2021).

About Jaclynn Marie Thacker Aprn, Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYNN MARIE THACKER APRN, NP-C (NPI 1073283362) is an individual family provider in Paoli, Indiana, licensed in Indiana (71011761A) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Paoli Hospital, and maintains a secondary practice location in English.

NPPES Registry Identity

NPI1073283362
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYNN MARIE THACKERCredential: APRN, NP-C
Location Address420 W LONGEST STPaoli, IN 47454-8821
Mailing Address420 W Longest StPaoli, IN 47454-8821 · (812) 723-3944
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 17, 2021
Last NPPES UpdateJuly 24, 20246 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1073283362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71011761A
420 W LONGEST ST, Paoli, IN 47454

Secondary Practice Location 1

Location 1307 S Indiana AveEnglish, IN 47118-5851 · Phone (812) 338-2924 · Fax (812) 338-5851

Other Identifiers 1

Medicaid300058325IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaclynn Marie Thacker Aprn, Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618366576
PECOS Enrollment IDI20211115001292
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
420 W LONGEST ST
PAOLI, IN 47454
Clinic/Center (Rural Health)
420 W LONGEST ST
PAOLI, IN 47454
Clinic/Center (Federally Qualified Health Center (FQHC))
420 W LONGEST ST
PAOLI, IN 47454
Nurse Practitioner (Family)
420 W LONGEST ST
PAOLI, IN 47454
Family Medicine
420 W LONGEST ST
PAOLI, IN 47454
Counselor (Mental Health)
420 W LONGEST ST
PAOLI, IN 47454
Nurse Practitioner (Family)
420 W LONGEST ST
PAOLI, IN 47454
Nurse Practitioner (Family)
420 W LONGEST ST
PAOLI, IN 47454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclynn Thacker's NPI number?

The NPI number for Jaclynn Thacker is 1073283362. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Jaclynn Thacker located?

Jaclynn Thacker practices at 420 W Longest St, Paoli, IN 47454. The listed phone number is (812) 723-3944.

What is Jaclynn Thacker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jaclynn Thacker enrolled in Medicare?

Yes. Jaclynn Thacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaclynn Thacker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jaclynn Thacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jaclynn Thacker affiliated with any hospitals?

According to CMS data, Jaclynn Thacker is affiliated with Indiana University Health Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Jaclynn Thacker was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.